Carpal tunnel syndrome ndiyo mamiriro ezvinhu anowedzera apo rimwe remitsipa yakakura muhombe inowanikwa. Iyi nhavo, iyo inonzi mutezo wepakati, inopa kunzwa uye misuru inoshanda kumeso neminwe. Zviratidzo zvakajairika zve carpal tunnel syndrome zvinosanganisira kushaya simba uye kugunun'una kweminwe, kurwadziwa muminwe, uye kushaya simba kwemisungo yoruoko.
Apo carpal tunnel chirwere chepfungwa chinowedzera kukanganisa, vanachiremba vanogona kukurudzira kuvhiyiwa kuti ibvise zvinomanikidza mutsara.
Chinangwa Chokuvhiya
Icho chinangwa chekuvhiya kwepaspal murinho chakanyatsotsanangurira: kubvisa zvinetso pamutsipa wepakati. Mune mamiriro ezvinhu ose, izvi zvinoitwa nekucheka (kana kuti "kusunungura") mutsara wepasipapiro mutambo muchanza cheruoko. Mune dzimwe nguva zvisingawanzoitiki, chimwe chinhu chisingawanzo chinokonzera kushungurudzwa pamisungo, yakadai sekukura mumugwagwa we carpal. Zvisinei, huwandu hwevanhu hunowana zororo kuburikidza nekucheka mutezo.
Mubvunzo ndeyekuti ungagadzirisa sei iyi guriti zvachose kuti kuvharidzira mutsara kunogadziriswa zvakakwana pasina kuunza kukuvadza kune zvivako zvakapoteredza izvo zvisingagone kuderedzwa. Kunyanya, chimwe chinhu chinowanzoitika chekuropal chirwere chekuvhiya chinokanganisa kune rimwe remitsipa duku (kana kuti zvichida kunyange kumutsara wemuviri) mukati mekona.
Izvi zvinogona kutungamirira kumatambudziko angave akaipisisa kupfuura zviratidzo zvepakutanga.
Zvokuvhiya
Pane maviri makuru ekusarudza apo chirwere chinotaridzirwa. Imwe nzira ndeyekugadzirira kuvhurika. Mune nzira iyi, kuiswa kweganda kunoitwa muchanza chechiko. Zviduku-zviduku pakati peganda nemukati mutsvuku wemapapiro zvinoparadzaniswa, uye gorosi inonyatsooneka.
Zvakakosha kuona zvikamu zviviri zvegorojekiti kuitira kuti chiremba wako anogona kuve nechokwadi chokuti gorosi yakasunungurwa zvakakwana, uye kuitira kuti mitsetse yakaswededzwa inogona kudzivirirwa panguva yekuita. Kureba kwekucheneswa kweganda kunogona kushanduka zvichienderana nekusarudza kwako chiremba, simba rekuona izvo zvinoda kuonekwa, uye kukwanisa kubvisa zvakakwana matukisi akakomberedzwa.
Imwe nzira yekuvhiya inonzi "endoscopic carpal tunnel release". Izvozvi kuvhiyiwa kunoitwawo kuburikidza nekukanganiswa, asi kunyanya kuduku kunopfuura kwekristani panzvimbo yesundu. Kamu kamera inowanikwa pasi payo pasi payo carpal ligament, uye gumbo rinowanikwa kuburikidza nekhamera kubva pasi payo. Chinhu chiduku chekucheka chinotorwa kubva kumera, uye ligament inotemwa apo chiremba anovhiya paikamera, zvakare kuve nechokwadi kuti mitsipa iri pedyo haina kukuvadzwa.
Icho Chiri Nani Chakanaka: Zvinotsvakurudzwa Nezvokuongorora
Pakave nekuongororwa kwakawanda, kusanganisira meta-analyzes yakawanda, iyo yakatsvaga kana endoscopic kana kuti yakazaruka yemapapu ekuvhima kusunungurwa kunobatsira. Nhoroondo yacho yakajeka pane zvimwe zvinhu.
- Vanhu vanodzokera kubasa nekukurumidza pavanenge vasati vashandura marapal tunnel kubudiswa kunofananidzwa nekuvhurwa kwekarpal tunnel chirwere. Vanhu vane hurongwa hwekukurumidza kudzokera kubasa nekukurumidza sezvinobvira, kunyanya kana vakavimba nemaoko kuti vaite basa rinorema kana kuti vakanamatira, kazhinji vanoita zvakanakisisa nekusingaperi pamusana pekuvhiyiwa kwepasipu yekuzaruka.
- Kubata simba zvishoma zvishoma kana mushure mekuvhiyiwa kune varwere vakagamuchira endoscopic carpal tunnel release. Nepo vamwe vanachiremba vakambotaura kuti kusiyana uku hakusi kukosha (zvinoreva kuti varwere havagone kuona musiyano), izvi zvinogona kutsanangura kuti nei vanhu vachida kudzokera kubasa nekukurumidza. Pashure pemwedzi inoverengeka, mutsauko uyu unoenda.
Pakave nezvimwe zvinetso zvinoratidzwa ne endoscopic carpal tunnel kubudiswa zvakare. Chimwe chezvinyanya kukosha ndeipi mukana wepamusoro wekukuvara kwemutsara unobatanidza nenzira iyi. Zvimwe zvidzidzo zvenguva pfupi zvinoratidzika kuratidza kuti izvi zvinoshungurudza nenguva apo vanachiremba vanovhiya vanoziva uye zvigadzirwa zvisingagumi zvakagadziridzwa.
Panewo kunetseka pamusoro pemari yezvigadzirwa zve endoscopic. Nzira yekuvhiya yematokari yakasununguka inoshandiswa inoshandisa zviyero zvakakwana uye kuita chirwere hazvirevi mari inoshandiswa. Endoscopic chirwere chepasipirini chekushandisa chinoda teknolojia inodhura iyo inogona kuva nehanya kune vamwe vanhu.
Is Endoscopic Yakanaka Here? Chii Chisipo Chandisina?
Kubva pane data, zvinoratidzika kuti endoscopic inoberevhirwa zviri nani. Vanhu vane hutano hwakanaka uye vanogona kudzoka kuzoshanda nekukurumidza. Zvisinei, hazvisi izvo zvakanyanya. Chimwe chinokanganisa chakaoma kuongorora mune zvidzidzo ndechokuti kuvhiya kwakasununguka kwakashandurwa kwemakore, uye vamwe vanachiremba vava kukwanisa kuita chirwere chakasununguka kuburikidza nechinguva chakakwana chokudzikisa iyo yakagurwa paganda haisi yakasiyana neimwe yehukuru kubva endoscopic incision. Izvi zvakasiyana-siyana mumasikirwo, anonzi mini-open release, inofungidzirwa nevamwe vanachiremba kuti vave nani kupfuura kuvhembera kwenguva refu. Nokufamba kwenguva, izvi zvinoshandiswa pakuvhiya kwepaspal tunnel zvinogona kuenzaniswa nekuvhiya kwekupedzisira kuti zvione kusiyana kupi (kana kune) kuratidza pakati pevarwere.
Pasi Pasi: Ndeipi Izvo Zvakanakisisa?
Nzira yakasununguka yematokari yakasunungurwa yakasununguka inenge iine zvakaderera pasi. Kunyange zvakadaro, kugadziriswa kwepasiporeti yemapapu kunosunungurwa uye kusunungurwa kwemashure emasipirini emasuo asingasununguri hazvirevi kuti zvakasiyana maererano nemigumisiro. Chimwe chezvinhu zvinonyanya kukosha kune zvose izvi ndezvechiremba wechiremba. Vanachiremba vanoita izvi zvinowanzova nezvinetso zvishoma uye migumisiro yakanaka. Naizvozvo, zvakakosha kutaura nemukuru wako chiremba pamusoro pezvaunogona kuita uye kunzwisisa kuti ndeapi nzira yaanoita. Kana iwe uchinzwa chimwe chezvimwe zvingasarudzwa zvingava zviri nani, kumbira mutsara wechipiri kubva kune chiremba anovhiya anoita shanduro yeimwe nzira.
> Sources:
> Vasiliadis HS, Georgoulas P, Shrier I, Salanti G, Scholten RJ: "Endoscopic release for carpal tunnel syndrome" Cochrane Database Syst Rev 2014; 1: CD008265. doi: 10.1002 / 14651858.CD008265.pub2.
> Sayegh ET, Strauch RJ: "Kusununguka pakusangana kwepasoscopic carpal tunnel kubudiswa: A meta-kuongororwa kwemiedzo yakarongedzwa nemaitiro" Clin Orthop Relat Res 2015; 473 (3): 1120-1132. doi: 10.1007 / s11999-014-3835-z. Epub 2014 Aug 19.
> Trumble TE, Diao E, Abrams RA, Gilbert-Anderson MM: Single-portal endoscopic carpal tunnel kubudiswa kunofananidzwa nekusunungurwa kwakasununguka: A inotarisirwa, randomised trial. J Bone Joint Surg Mu 2002; 84-A (7): 1107-1115.